Individual
ALEXA ISABEL HANSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3241 NE BROADWAY ST, PORTLAND, OR 97232-1814
(503) 282-8582
Mailing address
517 NE CHURCH ST APT 101, PORTLAND, OR 97211-3252
(510) 230-9120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25418
OR
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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